MDS PREP
In the extraoral technique for mandibular nerve block the needle after contacting the pterygoid plate is directed
1. Anteriorly
2. Posteriorly
3. Superiorly
4. Inferiorly
Oral Surgery
Answer: 1
In the extraoral technique for mandibular nerve block, the needle is inserted
into the pterygomandibular space anterior to the lateral pterygoid plate and
directed anteriorly to avoid damaging the maxillary artery and other important
structures located posteriorly. The goal is to place the anesthetic solution
around the mandibular nerve before it enters the pterygopalatine fossa.
In gate control theory of pain, pain is mainly modulated by
1. Substantia gelatinosa
2. B fibers
3. C fibers
4. Transmission system
Oral Surgery
Answer: 1
In gate control theory of pain, pain is mainly modulated by the substantia gelatinosa.
A high level fracture that extends across the orbits through the base of the nose and the ethmoid bone to the zygomatic arches is termed
1. Le Fort I fracture
2. horizontal fracture
3. pyramidal fracture
4. Le Fort Ill fracture
Oral Surgery
Answer: 4
Le Fort III fractures are characterized by a fracture pattern that involves the separation of the facial skeleton from the cranial base. This type of fracture typically extends across the orbits and involves the zygomatic arches, leading to significant facial disfigurement and potential complications.
Depressed fracture of the zygomatic area may be clinically recognised by
1. Concavity of the overlying tissue in the zygomatic arch area
2. Interference with movements of the mandible
3. Subluxation of condyles
4. Both A and B
Oral Surgery
Answer: 4
Concavity of the overlying tissue in the zygomatic arch area: This indicates a loss of structural integrity due to the fracture.Interference with movements of the mandible: The zygomatic bone plays a role in the overall facial structure and function, and a fracture can affect jaw movement.Both of these signs are indicative of a depressed fracture in this region.
Which of the following is not an advantage of marsupialisation
1) Exposure of very little bone
2) Preservating of vital structure
3) Rapid healing
4) Conserve surgical structures
Oral Surgery
Answer: 3
Marsupialization is a surgical procedure often used for cysts or abscesses. While it does have several advantages, such as minimal exposure of bone and preservation of vital structures, it is not typically associated with rapid healing. The healing process can be prolonged compared to other surgical techniques because it involves creating a permanent opening for drainage, which may take time to close completely.
Subjective symptom of buccal nerve block is
1. Numbness and tingling sensation of the buccal mucosa
2. Numbness of the lingual mucosa near molars
3. No subjective symptoms
4. A & B
Oral Surgery
Answer: 3
While the buccal nerve block is used to anesthetize the buccal mucosa and buccal
gingival tissues of the maxillary molars, the actual technique does not
typically produce any specific subjective symptoms in the patient other than the
sensation of the needle. The patient may feel numbness if the anesthetic
solution is inadvertently placed in the oral mucosa or if the block is done
improperly.
One decided to use forceps for removal of a tooth. The first direction for the force to be applied is
1. Buccally
2. Lingually or palatally
3. Apically
4. Occlusally
Oral Surgery
Answer: 3
When using forceps for removal of a tooth, the first direction for the force to be applied is apically.
For a 8-year-old child with TMJ ankylosis, the treatment of choice is
1. Gap arthroplasty
2. Condylectomy
3. Gap arthroplasty with costochondral grafting
4. Treatment not required
Oral Surgery
Answer: 3
For an 8-year-old child with TMJ ankylosis, the treatment of choice is gap arthroplasty with costochondral grafting.